6.7 RETEN MALAYSIAN PATIENT SAFETY GOALS(MPSG)&INCIDENT REPORTINGTAJUK PENERANGAN SUMBER DATAMalaysian Patient Safety Goals (MPSG) Pelaporan adalah utk Goal 3, 5, 6 dan 7 Sahaja. Cara pengisian reten adalah seperti berikut: 1. Pengisian bulanan: Borang MPSG 2.0 boleh dimuat turun di laman web https://https://patientsafety.moh.gov.my/v2/?page_id=556 dan dihantar ke negeri 2. Pengisian tahunan: Di platform e-goals Patient safety di laman web yang sama Diisi selewatnya 31 januari pada tahun berikutnya Carta alir pelaporan boleh rujuk halaman Malaysian Patient SafetyGoals 2.0Incident reporting Pelaporan insiden hendaklah dilakukan secara atas talian iaitu melalui pautan : https://forms.gle/4oZcZpPsFhxaTjPs5 Guidelines onImplementation- IncidentReporting andLearningSystem2.0
PELAPORAN MPSG
CARTA ALIR PELAPORAN INSIDEN
INCIDENT REPORTING
6.8 RETEN KUALITI 6.8.1 RETEN KAWALAN INFEKSI TAJUK PENERANGAN SUMBER DATAReten Kawalan Infeksi 1.Hand Hygence Compliance Memastikan kakitangan kesihatan mengamalkan tatacara mencuci tangan dengan betul supaya jangkitan healthcare associated infection dapat dikurangkan/dielakkan. Terdapat 5 kategori jawatan dan opportunities untuk melakukan cucian tangan. 1.Pegawai perubatan - 100 2.Penolong Pegawai Perubatan – 100 3.Jururawat – 100 4.Jururawat Masyarat – 100 5.Pembantu Perawatan kesihatan - 50 ** Dihantar dalm 3 fasa setiap tahun iaitu Jan-Mac, April - Jun dan Julai- Disember Garis Panduan Kawalan Infeksi Di Fasiliti Kesihatan Primer 2.Laporan Audit Kawalan Infeksi Di Fasiliti Kesihatan Primer Audit dijalankan dengan cara: Menjalankan pemerhatian Menjalankan demonstrasi Berkomunikasi dan berinteraksi Mengaudit rekod/data yang sedia ada Jumlah Bilangan keseluruhan bagi setiap elemen yang di audit adalah 11 (dari A-K) Rekodkan penemuan audit dengan menandakan simbol: / -sekiranya mematuhi X -sekiranya tidak mematuhi TB -sekiranya tidak berkaitan Cara pengiraan peratus pematuhan: Bil.mematuhi (a) x 100 Jum.bil elemen – Bil tidak berkaitan (c) ** Dihantar dalam 2 fasa setiap tahun iaitu Jan-Jun dan Julai- Disember 3.Laporan Latihan Kawalan Infeksi Di Fasiliti Kesihatan Primer Laporan bilangan anggota yang telah di latih berkenaan dengan kawalan infeksi dan berapa kali latihan telah dibuat disetiap daerah. ** Dihantar dalam 2 fasa setiap tahun iaitu Jan-Jun dan Julai- Disember
6.8.1.1 HAND HYGIENE
6.8.1.2 AUDIT FASILITI
6.8.1.3 LATIHAN KEPADA KAKITANGAN
6.8.2 RETEN AUDIT ASMA BRONKIAL TAJUK PENERANGAN SUMBER DATAAudit Klinikal Asma Audit ini menilai aspek klinikal dalam pengurusan pesakit Asma oleh Pegawai Perubatan berdasarkan garis panduan sedia ada dan perlu dilaksanakan di klinik kesihatan yang mempunyai perkhidmatan Pakar Peubatan Keluarga dan Pegawai Perubatan. Audit hanya dilakukan setahun sekali dari bulan Jun sehingga September. Jumlah sampel adalah 10 peratus atau 30 rekod rawatan pesakit Asma (yang mana lebih besar) yang dipilih secara rawak dari registri pesakit Asma. Audit dilaksanakan dengan menggunakan format audit ASthma Clinical Audit 1 (ACA-1) yang mengandung 7 soalan audit. Pengiraan skor dan analisa: Semua 7 soalan wajib dijawab. Jumlah skor penuh akan diambil sebagai denominator. Elemen yang dijawab akan diberikan skor pilihan 0, 0.5, 1 atau 2. Jumlah keseluruhan skor yang diperoleh akan dikira sebagai numerator. Peratus skor Audit (PSA) dikira secara automatik dengan menggunakan formula berikut: Jum skor yang diperoleh (numerator) X100 Jum skor penuh (denominator) Manual Pelaksanaan Audit Klinikal Asma di KesihatanPrimer(BPKK 2022) Rendah Skor <50% Sederhana Skor 50-79% Tinggi Skor ≥80%
BORANG AUDIT KLINIKAL ASMA
6.8.3 RETEN “CLIENT SATISFACTION” TAJUK PENERANGAN SUMBER DATAReten Pengalaman Pelanggan Soalselidik Pengalaman Pelanggan akan menggantikan QAP Klinik Kawanku. Sasaran terkini 90% klinik kesihatan melaksanakan inisiatif pengalaman pelanggan. Pelanggan Klinik kesihatan akan menjawab sendiri soalselidik tersebut pada aplikasi Google Form dengan cara mengimbas Kod QR laman sesawangnya pada iklan bunting yang akan diedarkan. Sekiranya rangkaian telco sukar diperolehi, pengumpulan data pengalaman pelanggan boleh dilaksanakan secara manual (hardcopy). Google form“Client Satisfaction”BORANG “CLIENT SATISFACTION”
6.8.4 RETEN AUDIT ANTIMICROBIAL STEWARDSHIP PROGRAM(AMS)TAJUK PENERANGAN SUMBER DATAAudit Antimicrobial Stewardship Program (AMS) Audit program AMS di klinik kesihatan akan dimulakan dengan Audit Klinkikal AMS, disusuli dengan Antibiotic Point Prevalance Survey (PPS) dan Audit Struktur AMS yang akan dilaksanakan secara Cross Sectional. Audit dilakukan disemua klinik kesihatan yang mempunyai Pakar Perubatan Keluarga. Indikator yang dipantau: 1. Peratus KK (dgn FMS) melaksanakan Audit Klinikal. 2. Peratus priskripsi antibiotik wajar (Skor Audit klinikal >80%). 3. Peratus KK (dgn FMS) melaksanakan Antibiotic Point Prevalance Survey. 4. Kadar preskripsi antibiotik bagi preskripsi dengan diagnosis URTI. 5. Peratus KK (dgn FMS) melaksanakan Audit Struktural. 6. Peratus pelaksanaan program AMS oleh organisasi (Skor audit Struktural >80%) Borang Audit (AMCA-1/PPS-PC 1/ AMSA-1) BORANG AUDIT ANTIMICROBIAL STEWARDSHIPAudit Klinikal AMS Audit Struktural AMS
6.9 AUDIT ENHANCED PRIMARYCAREEnPHC Indicators : Target Description NO INDICATORS TARGET TARGET BASIS 1 Percentage of newly diagnosed DM (by Diagnosis) 9% of screened population Comparison withNationalHealth Morbidity Survey 2015(18 years & above) findings: Diagnosed with DM: 17.5% Undiagnosed DM: 9.2% 2 Percentage of newly diagnosed HPT (by Diagnosis) 17% of screened population Comparison withNationalHealth Morbidity Survey 2015(18 years & above) findings: Diagnosed with HPT: 30.3% Undiagnosed HPT: 17.2% 3 Percentage of newly diagnosed Dyslipidaemia (by Diagnosis) 38% of screened population Comparison withNationalHealth Morbidity Survey 2015(18 years & above) findings: Diagnosed with Dyslipidaemia: 47.7% Undiagnosed Dyslipidaemia: 38.6%4 Percentage of Compliance to Clinic Appointments 90%of Scheduled Clinic Appointment Probability of normal distribution. 5 Percentage of Compliance to Hospital Appointments (Referral) 100% of ScheduledHospital Appointments Expected to be seen by Hospital specialist because its beyond Primary Care management 6 Percentage of Population Enrolment 95% of assigned population Probability of normal distribution. 7 Percentage of population screened 50% of assigned population Probability of population with at least one NCORisk. Comparison with National Health Morbidity Survey 2015(18 years & above) findings: Overweight: 30% Obesity: 17.7% 8 Percentage ofAdherence to Medication Refill Appointments 90%ofMedication Refill Appointments Literature review: 20% - antihypertensive medications 21% - lipid-lowering medications 25%- oral hypoglycaemic medications 9 Percentage of Well Controlled Diabetes Mellitus (DM) 30% with HbA1c ≤ 6.5% Achievement from NDR in 2021: 32% 10 Percentage of Well Controlled Hypertension (HPT) 55% with BP<140/90 mmHg Achievements for KK EnPHC: 2020: 51.4% 2021: 45.2% WHO (1998) Classifications {
EnPHC Indicators : Formula NO INDICATORS FORMULA TARGET1 Percentage of newly diagnosed DM (by Diagnosis) Number of new DM Patient X100% Number of screened population (≥ 18 y.o) 9% of screenedpopulation2 Percentage of newly diagnosed HPT (by Diagnosis) Number of new HPT Patient X100% Number of screened population (≥ 18 y.o) 17% of screenedpopulation3 Percentage of newly diagnosed Dyslipidaemia (by Diagnosis) Number of new Dyslipidaemia Patient X100% Number of screened population (≥ 18 y.o) 38% of screenedpopulation4 Percentage of Compliance to Clinic Appointments Number of Patient adhering to Clinic Appointments X100% Number of scheduled clinic appointments 90%of ScheduledAppointments 5 Percentage of Compliance to Hospital Appointments (Referral) Number of Patient adhering to Hospital appointments X100% Number of scheduled Hospital appointments for referral cases 100%of ScheduledAppointments 6 Percentage of Population Enrolment Number of Population Enrolled X100% Number of assigned population (≥ 18 y.o) 95% of assignedpopulation7 Percentage of assigned population screened Number of Population Screened for NCD Risk X100% Number of assigned population (≥ 18 y.o) 50% of assignedpopulation8 Percentage of Adherence to Medication Refill Appointments Number of Patient adhering to medication refill appointment X100% Number of patient with medication refill appointment 90%of MedicationRefill Appointments 9 Percentage of Well Controlled Diabetes Mellitus (OM) Number of HbA1c result ≤ 6.5% Number of HbA1c test conducted X100% Number of HbA1c test conducted 30%with HbA1c ≤6.5%10 Percentage of Well Controlled Hypertension (HPT) Number of HPT patient with BP< 140/90 mmHg X100% Number of HPT patient came for BP appointment 55% with BP <140/90mmHg
INDICATOR 1 PERCENTAGE OF NEWLY DIAGNOSED DM (BY DIAGNOSIS) Target Target of 9% Comparison with National Health Morbidity Survey 2015 (18 years & above) findings: Diagnosed with DM: 17.5% Undiagnosed DM: 9.2% Data Source Manual NCD registry/existing system Total Number of Screened population (≥ 18y.o) DM (by diagnosis) New Number Cumulative Cumulativepercentageof Screened population(n) (％) (a) (b) (c) (d) =(c)/(a) x 100%2022 January December TOTAL (n): number a. Total number of Screened population: Total number of clients screened for CVD risk factor among assigned population aged 18 years and above. b. Number of New DM Diagnosis: Number of new DM diagnosis made in the clinic for the respective month. Excluding existing diagnosis of DM and transfer in DMpatient. c. Cumulative Number of New DM Diagnosis: Cumulative number of new DM diagnosis made in the clinic from month EnPHC wasinitiated until the current month. d. Cumulative Percentage ofscreened population with New DM Diagnosis (%): = Cumulative Number of New DM Diagnosis From month EnPHC was initiated until the current month X 100% Total number vof screened population
Total Number of Screened population (≥ 18y.o) HPT (by diagnosis) New Number Cumulative Cumulativepercentageof Screened population(n) (％) (a) (b) (c) (d) =(c)/(a) x 100%2022 January December TOTAL (n): number a. Total number of Screened populations: Total number of clients screened for CVD risk factor among assigned population aged 18 years and above. b. Number of New HPT Diagnosis: Number of new HPT diagnosis made in the clinic for the respective month. Excluding existing diagnosis of HPT and transfer in HPT patient. c. Cumulative Number of New HPT Diagnosis: Cumulative number of new HPT diagnosis made in the clinic from month EnPHC was initiated until the current month. d. Cumulative Percentage ofscreened population with New HPT Diagnosis (%): = Cumulative Number of New HPT Diagnosis From month EnPHC was initiated until the current month X 100% Total number of screened population INDICATOR 2 PERCENTAGE OF NEWLY DIAGNOSED HPT (BY DIAGNOSIS) Target Target of 17% Comparison with National Health Morbidity Survey 2015 (18 years & above) findings: Diagnosed with HPT: 30.3% Undiagnosed HPT: 17.2% Data Source Manual NCD registry/existing system
INDICATOR 3 PERCENTAGE OF NEWLY DIAGNOSED DYSLIPIDAEMIA (BY DIAGNOSIS) Target Target of 38% Comparison with National Health Morbidity Survey 2015 (18 years & above) findings: Diagnosed with HPT: 47.7% Undiagnosed HPT: 38.6% Data Source Manual NCD registry/existing system Total Number of Screened population (≥ 18y.o) Dyslipidaemia (by diagnosis) New Number Cumulative Cumulativepercentageof Screened population(n) (％) (a) (b) (c) (d) =(c)/(a) x 100%2022 January December TOTAL (n): number a. Total number of Screened populations: Total number of clients screened for CVD risk factor among assigned population aged 18 years and above. b. Number of New Dyslipidaemia Diagnosis: Number of new Dyslipidaemia diagnosis made in the clinic for the respective month. Excluding existing diagnosis of HPT and transfer inHPTpatient. c. Cumulative Number of New Dyslipidaemia Diagnosis: Cumulative number of new Dyslipidaemia diagnosis made in the clinic from month EnPHC was initiated until the current month. d. Cumulative Percentage ofscreened population with New Dyslipidaemia Diagnosis (%): = Cumulative Number of New Dyslipidaemia Diagnosis From month EnPHC was initiated until the current month X 100%Total number of screened population
INDICATOR 4 PERCENTAGE OF ADHERENCE TO CLINIC APPOINTMENTS Target ˃ 38% Data Source Clinic Appointment Record Total Number of Scheduled Clinic Appointment Total Number of Scheduled Clinic Appointments Defaulted Percentage of Clinic Appointments Defaulted (％) Percentage of Adherence toClinicAppointments (％) (a) (b) (c) = (b)/(a) X 100% (d) = 100%- (c) 2022 January December TOTAL a. Total Number of Scheduled Clinic Appointments: Total number of clinic appointments scheduled for registered OM, HPT & Dyslipidaemia patients for the respective month. Excluding clinic appointment for: • NCO screening • Blood taking/procedure • Integrated Specialized Services (ISS) • Medication refills b. Number of Scheduled Clinic Appointments Defaulted: Number of clinic appointments failed to be complied by registered OM, HPT& Dyslipidaemia patients for the respective month. ClinicAppointments are considered defaulted when patients failed to turn up on the scheduled date without prior notice. Excluding patient who contacted the Health Clinic prior to the scheduled date to reschedule clinic appointments. By proxy is considered as defaulter. c. Percentage of Clinic Appointments Defaulted (%): = Number of Scheduled Clinic Appointments Defaulted x 100% Total Number of Scheduled Clinic Appointments d. Percentage of Adherence to Clinic Appointments (%): = 100% - Percentage of Clinic Appointments Defaulted
INDICATOR 5 PERCENTAGE OF ADHERENCE TO HOSPITAL APPOINTMENTS (REFERRAL) Target 100 % Data Source Hospital Appointment Record Total Number of Scheduled Hospital Appointment Number of Scheduled Hospital Appointments Defaulted Percentage of Hospital Appointments Defaulted (％) Percentage of AdherencetoHospital Appointments (％) (a) (b) (c) = (b)/(a) X 100% (d) = 100%- (c) 2022 January December TOTAL a. Total Number of Scheduled Hospital Appointments: Total number of hospital appointments scheduled for referred NCO related casesfor the respective month. A single patient may havemultiple appointment at a single or multiple hospital. b. Number of Scheduled Hospital Appointments Defaulted: Number of hospital appointments failed to be complied by registered DM, HPT & Dyslipidaemia patients for the respective month. Hospital appointments are considered defaulted when patients failed to turn up on the scheduled date without prior notice. Excludingpatient who contacted the Hospital prior to the scheduled date to reschedule appointments. By proxy is considered as defaulter. c. Percentage of Hospital Appointments Defaulted (%): = Number of Scheduled Hospital Appointments Defaulted x 100% Total Number of Scheduled Hospital Appointments d. Percentage of Adherence to Hospital Appointments (%): = 100% - Percentage of Scheduled Hospital Appointments Defaulted
INDICATOR 6 PERCENTAGE OF POPULATION ENROLMENT Target 95 % of assigned population Data Source MOVeS (KOSPEN & EnPHC)/ ePRS (Fasiliti dalam kawasan operasi) Malaysia Population Census (DOSM) a. Total number of assigned population: Total number of population within respective Health Clinic's operational area aged 18 years old and above, according to Malaysia populationcensus (DOSM). b. New Population Enrolled Number of new enrolment from the assigned population in the respective month. An individual will only be enrolled once . An individual isconsidered enrolled when these details has been entered into existing database/system: IC Number ● Gender Name ● Address Date of birth Enrolment criteria: Malaysian Age 18 years old and above c. Total Population Enrolled The cumulative number of population enrolled untilthe current month. d. Percentage of Population Enrollment (%): = Total Population Enrolled X 100% Total number of assigned population Total Number of Assigned population (≥ 18y.o) Population Enrolled New Total Percentage of Population Enrolled(％) (a) (b) (c) (d) = (c)/(a) x 100%2022 January December TOTAL
INDICATOR 7 PERCENTAGE OF ASSIGNED POPULATION SCREENED Target 50 % of assigned population Data Source MOVeS (KOSPEN & EnPHC)/ ePRS (Fasiliti dalam kawasan operasi) Malaysia Population Census (DOSM) a. Total number of assigned population: Total number of population within respective Health Clinic's operational area aged 18 years old and above, according to Malaysia PopulationCensus (DOSM). b. New Population Screened Number of population newly screened in the respective months to identify CVD risk factor. An individual will only be counted onceevenifscreening was repeatedly done. An individual is considered screened when these parameters are recorded into existing system/database: BMI RBS BP c. Total Population Screened The cumulative number of population screened for CVD risk factor until the current month. d. Percentage of assigned population screened(%): = Total Population Screened X 100% Total Number of Assigned Population Total Number of Assigned population (≥ 18y.o) Population Screened New Total Percentage of AssignedPopulation Screened(％) (a) (b) (c) (d) =(c)/(a) x 100%2022 January December TOTAL
INDICATOR 8 PERCENTAGE ADHERENCE TO MEDICATION REFILL APPOINTMENTS Target 90% of Medication Refill Appointments Data Source PhlS Total Number of Scheduled Medication Refill Appointment Number of Medication Refill Defaulted Percentage of Medication Refill Defaulted (％) Percentage of AdherencetoMedication Refill Appointment (％) (a) (b) (c) = (b)/(a) X 100% (d) = 100%- (c) 2022 January December TOTAL a. Number of Scheduled Medication Refill Appointments: Total number of NCO medication refill appointments scheduled for the respective month. A single patient may have multiple appointments.b. Number of Medication Refill Defaulters: Cumulative number of NCO medication refill defaulters generated daily for defaulter tracing activities by Care Coordinator. Medication Refill Defaulters are defined as patient with Medication Possession Rate (MPR) of <80%. MPR is calculated using the formula: = Duration of medication supplied* X 100% Duration between last supply until current date or subsequent medication supply * For prescription with multiple medication, MPR calculation is according to medication with shortest duration supplied MPR calculation excludes SPUB and PRN medication. c. Percentage of Medication Refill Defaulters(%): = Number of Medication Refill Defaulters x 100% Total Number of Medication Refill Appointments d. Percentage of Adherence to Hospital Appointments (%): = 100% - Percentage of Medication Refill Defaulters
Medication Possession Rate (MPR) MPR is used as one of the tools for medication adherence assessment in EnPHC implementation. Duration of medication supply (Tempoh pembekalan ubat) : The duration between Previous Supply Start Date until Previous Supply End Date. Duration between earlier medication supplied until the subsequent supply (Tempoh antara bekalan awal ubat hingga bekalanseterusnya):The duration between Previous Supply Start Date until next dispensing date (tarikh bekalan seterusnya). MPR is calculated for every medication in the partially dispensed prescription except for PRN medication. The minimumMPRvalueforeverypartial prescription will be displayed and recorded in MAA Report. For the implementation of EnPHC, refill defaulter is defined as patient with MPR value of <80% The list of refill defaulter should be generated DAILY for the purpose of refill defaulter tracing. MPR = Tempoh pembekalan ubat Tempoh antara bekalan awal ubat hingga bekalan seterusnya MPR = Duration of medication supplied Duration between earlier medication supplied until the subsequent supply
a. Number of HbA1c test conducted The number of tests conducted for HbA1c among DM patients atthe specified period of time. b. Number of HbA1c result< 6.5% The number of test results for HbA1c with reading of 6.5% or less done among DM patients at the specified period of time. c. Percentage ofwell controlled DM The percentage of DM patients with well controlled glucose level (HbA1c ≤ 6.5%) using formula: = Number of HbA1c result ≤ 6.5% X 100 Number of HbA1c test conducted INDICATOR 9 PERCENTAGE OF WELL CONTROLLED DIABETES MELLITUS (DM) Target 30% with HbA1c ≤ 6.5% Data Source DM registry/existing system MONTH WELL CONTROLLED DM Number of HbA1c test conduct Number of HbA1c result ≤ 6.5 % Percentage of well controlledDM(n) (n) (%) (a) (b) c=(b)/(a)X 100 January December TOTAL
a. Number of HPT patient came for BP appointment The number of patients diagnosed with HPT who came for BP follow up appointment including virtual clinic appointment, at thespecified period of time. Exclusion: patient with Diabetes Mellitus/ischaemic heart disease/cerebrovascular disease/renal impairment.b. Number of HPT patient with BP reading <140/90 mmHg The number of HPT patient who came for BP follow up appointment with BP reading of less than 140/90 mmHg at the specifiedperiodof time. c. Percentage ofwell controlled HPT The percentage of HPT patients withwell controlled BP of less than 140/90 mmHg using formula: = Number of HPT patient with BP reading < 140/90 mmHg x 100% Number of HPT patient came for BP appointment INDICATOR 10 PERCENTAGE OF WELL CONTROLLED HYPERTENSION (HPT) Target 55% with BP< 140/90 mmHg Data Source manual HPT registry/existing system MONTH WELL CONTROLLED HPT Number of HPT patient came for BP appointment Number of HPT patient with BP reading < 140/90 mmHg Percentage of well controlledHPT(n) (n) (%) (a) (b) c=(b)/(a)X 100 January December TOTAL
6.10 RETEN KLINIK BERHENTI MEROKOKTAJUK PENERANGAN SUMBER DATAKlinik Berhenti Merokok (KBM) Program Klinik Berhenti Merokok di semua Klinik Kesihatan Sasaran : 3 pelanggan berhenti merokok setiap bulan/klinik KPI : 35% pelanggan berhenti merokok Reten KBMPencapaian Jan-Jun Bil. klien yang berhenti merokok tahun semasa x 100 Bil. klien berdaftar KBM yg ada quit date dari Julai-Disember tahun sebelumnya Reten Kohort Jan-JunPencapaian Julai-Disember Bil. klien yg berhenti merokok Julai-Disember x 100 Bil. klien berdaftar KBM yg ada quit date dari Jan-Jun pada tahun tersebut Reten Kohort Julai-Dis
e-BOOK National Policy & Guidelines For Point Of Care Testing (2nd Edition-2022) CPG Dengue Infection Buku Polisi Operasi Klinik Kesihatan CPG T2DM 6th Edition 2020 CPG Dengue in Children (Second Edition) Garis Panduan Pengendalian Influenza (Rev Ogos 2023) Guidelines For Management Of Common Chronic Pain Condition In Primary Care Garis Panduan Pengesahan Penagih Dadah Garis Panduan Perkhidmatan Penjagaan Luka di Fasiliti Kesihatan Primer Garis Panduan Khidmat Berhenti Merokok di Klinik Kesihatan Protocol On AMS Programme In Healthcare Facilities 2022 Guidelines On Implementation Incident Reporting & Learning System 2.0 Garis Panduan Credentialing & Privileging Bagi Penjagaan Kesihatan Primer Pindaan 2020 CPG Management of Dementia (Third Edition)a National Antimicrobial Guidelines (NAG) 2019 Garis Panduan Perkhidmatan Perawatan Domisiliari Di Kesihatan Primer Garis Panduan Penubuhan Panel Penasihat Klinik Kesihatan di klinik kesihatan Malaysian Patient Safety Goals 2.0 Garis Panduan Perkhidmatan Konsultasi Secara Maya di Klinik Kesihatan Garis Panduan Pelaksanaan P5VS V7 Buku Format Penyeliaan Fasiliti Kesihatan Primer Johor
INFOPACKPRIMERPROGRAMBEBAS KESAKITANTELEPRIMARY CARE &ORAL HEALTHCLINICAL INFORMATIONSYSTEMSKLINIK BERHENTI MEROKOK(KBM)KK PENGESAHANPENAGIHKESELAMATAN PESAKIT DI FASILITI KESIHATANPRIMERRETEN PRIMERANTIMICROBIAL STEWARDSHIP (AMS) DEMENTIA CREDENTIALING & PRIVILEGING (C&P) PERKHIDMATAN KESIHATAN MESRA REMAJA AUDIT KLINIKAL ASMA BASIC RADIOGRAPHY IN PRIMARY CARE
UNIT KESIHATAN PRIMER BAHAGIAN KESIHATAN AWAM JABATAN KESIHATAN NEGERI JOHOR Tel. : 07-2382216